Medvedev, Alexander

Medvedev, Alexander is an sole proprietor health care provider with primary practice located at 800 W Central Rd , Arlington Heights IL 60005-2349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Medvedev, Alexander can be contacted via phone (847) 618-4180.

Contact Information

Primary practice address
800 W Central Rd Arlington Heights IL 60005-2349
Phone: (847) 618-4180
Fax: (847) 618-2709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 125057105 Illinois

Profile Details

NPI number 1588893101
LBN Legal business name Medvedev, Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2009
Last updated Dec 16th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588893101 NPPES
Illinois Other 036128731 STATE LICENSE

Popular Providers